Document Detail


Prognostic value of ultrasound morphology in carotid atherosclerosis.
MedLine Citation:
PMID:  7911498     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The role of the surface characteristics of carotid artery lesions in the long-term prognosis of cerebrovascular disease has not been established. 184 patients who presented with symptoms of hemispheric TIA or retinal ischemia, and had ipsilateral carotid artery atheromatous disease, were clinically followed 5-8 years (mean 6.3 years) after initial presentation. Based on the findings of the initial duplex ultrasound examination, a comparison was made between those patients who suffered a vascular event in the follow-up period and those who remained alive and without subsequent vascular symptoms. The only significant difference found between the groups was the distribution of the lesion surface characteristics (p < 0.01). The degree of stenosis caused by the lesion or the size of the low-echo pool within the lesion were not found to be significantly associated with subsequent clinical events. The results of this study emphasise the importance of the ultrasound evaluation of the carotid lesion surface characteristics, and their inclusion in the criteria for decisions on patient treatment.
Authors:
D E Fitzgerald; C M O'Farrell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International angiology : a journal of the International Union of Angiology     Volume:  12     ISSN:  0392-9590     ISO Abbreviation:  Int Angiol     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1994-07-13     Completed Date:  1994-07-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8402693     Medline TA:  Int Angiol     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  337-41     Citation Subset:  IM    
Affiliation:
Vascular Medicine Unit, James Connolly Memorial Hospital, Blanchardstown, Dublin, Ireland.
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MeSH Terms
Descriptor/Qualifier:
Aged
Carotid Artery Diseases / epidemiology,  ultrasonography*
Carotid Stenosis / ultrasonography
Female
Follow-Up Studies
Humans
Intracranial Arteriosclerosis / epidemiology,  ultrasonography*
Ischemic Attack, Transient / epidemiology
Male
Prognosis
Risk Factors
Time Factors
Ultrasonography, Doppler, Transcranial

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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